MEDICARE: MRS. REBECCA LYNN ARNESON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1790935682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA LYNN ARNESON

Provider Business Mailing Address
First Line	:	324 RAINIER DR
Second Line	:	FAYETTEVILLE
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-1511
Country	:	US
Telephone Number	:	910-424-7538
Fax Number	:

Provider Business Practice Location Address
First Line	:	324 RAINIER DR
Second Line	:	FAYETTEVILLE
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-1511
Country	:	US
Telephone Number	:	910-424-7538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2008
Last Update Date	:	10/07/2008

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